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Nous avons realise une etude qualitative qui avait pour objectif d'apprehender les representations que les patients associent a l'experience de leur maladie et a l'education therapeutique (ETP) en les mettant en lien avec leurs caracteristiques socioeconomiques (niveau d'etude, activite professionnelle, revenu) et leur participation a un programme d'ETP. Vingt-trois entretiens semi-directifs ont ete realises aupres de patients atteints de diabete de type 2 issus de divers milieux socioeconomiques. La moitie des patients a participe a un programme d'ETP. Les entretiens ont ete traites a l'aide du logiciel d'analyse textuelle Alceste© . Les resultats montrent que les caracteristiques socioeconomiques sont associees de maniere significative aux discours portes sur la maladie et l'ETP. En revanche, la variable « participation a un programme » n'est associee a aucune des classes. La maniere dont les patients pensent la maladie et l'ETP est etroitement liee au contexte social dans lequel ils sont inscrits. La participation a l'ETP se doit d'etre frequente et inscrite dans la duree pour attenuer les effets de l'inscription sociale des patients.

International audience

International audience

Sarde Michèle. Latrasies pour Violente. In: Sorcières : les femmes vivent, n°16, 1979. Désirs. pp. 33-36.

Introduction: Type 2 diabetes (T2DM) is a chronic disease with a prevalence of 4.4% in France. It is a pathology responsible for significant morbidity and mortality, representing a strong public health organization. Indeed, type 2 diabetes is the leading cause of blindness before the age of 65, the leading cause of hemodialysis and the fourth leading cause of hospitalization and death in France. The development of skills and the acquisition of knowledge, therapeutic education (ETP) enable the patient to better manage his illness.Materiel and methods: This is a retrospective, comparative, multicenter study whose main objective was to study the knowledge of patients with type 2 diabetes and to compare them with the knowledge of patients who have previously ETP. The secondary objectives of our study were to evaluate the impact of ETP on the quality of life of patients with type 2 diabetes and to carry out a first educational diagnosis, allowing us to identify the targets priority education. We formed 2 groups: the non-ETP group (patients who have never performed ETP sessions) and the ETP group (patients who have already completed ETP sessions).Results: 60 patients participated in this study, 30 patients in the ETP group, 30 patients in the non-ETP group. Patients in both groups had comparable epidemiological data: mean age was 63.8 years, BMI 29.6 kg / m2, duration of DT2 was 5-10 years, most patients were retired. 53% of the patients in the non-ETP group did not know their hypoglycemic treatments compared to 17% in the FTE group, this difference was statistically significant (p